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Laparoscopic Management of Large Benign Ovarian Cysts

Background: Laparoscopy is a valid surgical technique for the management of benign ovarian cysts. But its effectiveness when dealing with large cysts is unclear. Our aim is to evaluate the results of laparoscopy in routine management of huge benign ovarian cysts.

Materials and Methods: We performed a prospective study from August 2014 to January 2016. We enrolled 42 patients with large benign ovarian cysts laparoscopically managed in the department of Gynecology and Obstetrics "A" at Charles Nicolle’s hospital.

Results: Eight patients had emergency laparoscopy for suspected adnexal torsion. The laparoscopic exploration revealed a right ovary cyst in 63% of cases and a left ovarian cyst in 35% of patients without any extra-cystic vegetation. A cystectomy was performed in 42% and an adnexectomy in all the other cases. A bilateral adnexectomy was performed in 25% of cases. A laparoconversion was needed in 32.7% of cases. No vascular, digestive or infectious complications were observed. The mean duration of the operative procedure was 115 minutes. The average hospital stay was 3 days. Pathological examination of the surgical specimens revealed a serous cystadenoma in 33 cases.

Conclusion: Laparoscopy is a safe and reliable first choice in the management of huge benign ovarian cysts.

Author(s): Slimani Olfa, Nabil Mathlouthi, Imen Znagui, Moez Attia, Riadh Ben temime, Tahar Makhlouf, Leila Attia

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